{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T17:29:00Z","timestamp":1785778140425,"version":"3.56.0"},"reference-count":37,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2015,4,21]],"date-time":"2015-04-21T00:00:00Z","timestamp":1429574400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Knee Surg Sports Traumatol Arthrosc"],"published-print":{"date-parts":[[2016,4]]},"DOI":"10.1007\/s00167-015-3604-x","type":"journal-article","created":{"date-parts":[[2015,4,20]],"date-time":"2015-04-20T14:37:37Z","timestamp":1429540657000},"page":"1180-1186","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":40,"title":["Isolated syndesmotic injuries in acute ankle sprains: diagnostic significance of clinical examination and MRI"],"prefix":"10.1002","volume":"24","author":[{"given":"Lars Gerhard","family":"Gro\u00dfterlinden","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maximilian","family":"Hartel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jin","family":"Yamamura","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bjoern","family":"Schoennagel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nils","family":"B\u00fcrger","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mathias","family":"Krause","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander","family":"Spiro","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Hoffmann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wolfgang","family":"Lehmann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johannes Maria","family":"Rueger","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin","family":"Rupprecht","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,4,21]]},"reference":[{"issue":"4","key":"3604_CR1","doi-asserted-by":"crossref","first-page":"276","DOI":"10.2519\/jospt.1998.27.4.276","volume":"27","author":"A Alonso","year":"1998","unstructured":"Alonso A, Khoury L, Adams R (1998) Clinical tests for ankle syndesmosis injury: reliability and prediction of return to function. J Orthop Sports Phys Ther 27(4):276\u2013284","journal-title":"J Orthop Sports Phys Ther"},{"issue":"6","key":"3604_CR2","first-page":"667","volume":"73","author":"A Beumer","year":"2002","unstructured":"Beumer A, Swierstra BA, Mulder PG (2002) Clinical diagnosis of syndesmotic ankle instability: evaluation of stress tests behind the curtains. Acta Orthop Scand 73(6):667\u2013669","journal-title":"Acta Orthop Scand"},{"issue":"3","key":"3604_CR3","doi-asserted-by":"crossref","first-page":"294","DOI":"10.1177\/036354659101900315","volume":"19","author":"MJ Boytim","year":"1991","unstructured":"Boytim MJ, Fischer DA, Neumann L (1991) Syndesmotic ankle sprains. Am J Sports Med 19(3):294\u2013298","journal-title":"Am J Sports Med"},{"key":"3604_CR4","doi-asserted-by":"crossref","first-page":"131","DOI":"10.2214\/ajr.182.1.1820131","volume":"182","author":"KW Brown","year":"2004","unstructured":"Brown KW, Morrison WB, Schweitzer ME et al (2004) MRI findings associated with distal tibiofibular syndesmosis injury. AJR Am J Roentgenol 182:131\u2013136","journal-title":"AJR Am J Roentgenol"},{"key":"3604_CR5","author":"TO Clanton","year":"2014","unstructured":"Clanton TO, Ho CP, Williams BT et al (2014) Magnetic resonance imaging characterization of individual ankle syndesmosis structures in asymptomatic and surgically treated cohorts. Knee Surg Sports Traumatol Arthrosc. doi: 10.1007\/s00167-014-3399-1","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"4","key":"3604_CR6","doi-asserted-by":"crossref","first-page":"378","DOI":"10.1136\/ard.37.4.378","volume":"37","author":"WW Downie","year":"1978","unstructured":"Downie WW, Leatham PA, Rhind VM et al (1978) Studies with pain rating scales. Ann Rheum Dis 37(4):378\u2013381","journal-title":"Ann Rheum Dis"},{"key":"3604_CR7","doi-asserted-by":"crossref","first-page":"305","DOI":"10.1177\/107110078400400606","volume":"4","author":"GS Edwards Jr","year":"1984","unstructured":"Edwards GS Jr, DeLee JC (1984) Ankle diastasis without fracture. Foot Ankle 4:305\u2013312","journal-title":"Foot Ankle"},{"key":"3604_CR8","doi-asserted-by":"crossref","first-page":"280","DOI":"10.1016\/S1067-2516(98)80063-X","volume":"37","author":"L Fallat","year":"1998","unstructured":"Fallat L, Grimm DJ, Saracco JA (1998) Sprained ankle syndrome: prevalence and analysis of 639 acute injuries. J Foot Ankle Surg 37:280\u2013285","journal-title":"J Foot Ankle Surg"},{"issue":"10","key":"3604_CR9","doi-asserted-by":"crossref","first-page":"653","DOI":"10.1177\/107110079801901002","volume":"19","author":"JP Gerber","year":"1998","unstructured":"Gerber JP, Williams GN, Scoville CR et al (1998) Persistent disability associated with ankle sprains: a prospective examination of an athletic population. Foot Ankle Int 19(10):653\u2013660","journal-title":"Foot Ankle Int"},{"key":"3604_CR10","doi-asserted-by":"crossref","first-page":"336","DOI":"10.3113\/FAI.2007.0336","volume":"28","author":"SH Han","year":"2007","unstructured":"Han SH, Lee JW, Kim S et al (2007) Chronic tibiofibular syndesmosis injury: the diagnostic efficiency of magnetic resonance imaging and comparative analysis of operative treatment. Foot Ankle Int 28:336\u2013342","journal-title":"Foot Ankle Int"},{"issue":"3","key":"3604_CR11","doi-asserted-by":"crossref","first-page":"839","DOI":"10.1148\/radiology.148.3.6878708","volume":"148","author":"JA Hanley","year":"1983","unstructured":"Hanley JA, McNeil BJ (1983) A method of comparing the areas under receiver operating characteristic curves derived from the same cases. Radiology 148(3):839\u2013843","journal-title":"Radiology"},{"issue":"6","key":"3604_CR12","doi-asserted-by":"crossref","first-page":"325","DOI":"10.1177\/107110079001000607","volume":"10","author":"WJ Hopkinson","year":"1990","unstructured":"Hopkinson WJ, St Pierre P, Ryan JB et al (1990) Syndesmosis sprains of the ankle. Foot Ankle 10(6):325\u2013330","journal-title":"Foot Ankle"},{"issue":"4","key":"3604_CR13","doi-asserted-by":"crossref","first-page":"278","DOI":"10.1097\/JSM.0b013e31827ee829","volume":"23","author":"KJ Hunt","year":"2013","unstructured":"Hunt KJ, George E, Harris AH et al (2013) Epidemiology of syndesmosis injuries in intercollegiate football: incidence and risk factors from National Collegiate Athletic Association injury surveillance system data from 2004\u20132005 to 2008\u20132009. Clin J Sport Med 23(4):278\u2013282","journal-title":"Clin J Sport Med"},{"key":"3604_CR14","doi-asserted-by":"crossref","first-page":"173","DOI":"10.1097\/BLO.0b013e31802eb471","volume":"455","author":"MH Jones","year":"2007","unstructured":"Jones MH, Amendola A (2007) Syndesmosis sprains of the ankle: a systematic review. Clin Orthop Relat Res 455:173\u2013175","journal-title":"Clin Orthop Relat Res"},{"issue":"2","key":"3604_CR15","doi-asserted-by":"crossref","first-page":"187","DOI":"10.1177\/107110070502600213","volume":"26","author":"E Kiter","year":"2005","unstructured":"Kiter E, Bozkurt M (2005) The crossed-leg test for examination of ankle syndesmosis injuries. Foot Ankle Int 26(2):187\u2013188","journal-title":"Foot Ankle Int"},{"issue":"9663","key":"3604_CR16","doi-asserted-by":"crossref","first-page":"575","DOI":"10.1016\/S0140-6736(09)60206-3","volume":"373","author":"SE Lamb","year":"2009","unstructured":"Lamb SE, Marsh JL, Hutton JL et al (2009) Mechanical supports for acute, severe ankle sprain: a pragmatic, multicentre, randomised controlled trial. Lancet 373(9663):575\u2013581","journal-title":"Lancet"},{"issue":"1","key":"3604_CR17","doi-asserted-by":"crossref","first-page":"159","DOI":"10.2307\/2529310","volume":"33","author":"JR Landis","year":"1977","unstructured":"Landis JR, Koch GG (1977) The measurement of observer agreement for categorical data. Biometrics 33(1):159\u2013174","journal-title":"Biometrics"},{"key":"3604_CR18","doi-asserted-by":"crossref","first-page":"423","DOI":"10.1007\/s00256-010-1017-y","volume":"40","author":"I Langner","year":"2011","unstructured":"Langner I, Frank M, Kuehn JP et al (2011) Acute inversion injury of the ankle without radiological abnormalities: assessment with high-field MR imaging and correlation of findings with clinical outcome. Skeletal Radiol 40:423\u2013430","journal-title":"Skeletal Radiol"},{"issue":"11","key":"3604_CR19","first-page":"1370","volume":"21","author":"TH Lui","year":"2005","unstructured":"Lui TH, Ip K, Chow HT (2005) Comparison of radiologic and arthroscopic diagnoses of distal tibiofibular syndesmosis disruption in acute ankle fracture. Arthroscopy 21(11):1370","journal-title":"Arthroscopy"},{"issue":"6","key":"3604_CR20","doi-asserted-by":"crossref","first-page":"1328","DOI":"10.1007\/s00167-012-2205-1","volume":"21","author":"GA McCollum","year":"2013","unstructured":"McCollum GA, van den Bekerom MP, Kerkhoffs GM et al (2013) Syndesmosis and deltoid ligament injuries in the athlete. Knee Surg Sports Traumatol Arthrosc 21(6):1328\u20131337","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"3604_CR21","doi-asserted-by":"crossref","first-page":"746","DOI":"10.1177\/036354659502300618","volume":"23","author":"CD Miller","year":"1995","unstructured":"Miller CD, Shelton WR, Barrett GR et al (1995) Deltoid and syndesmosis ligament injury of the ankle without fracture. Am J Sports Med 23:746\u2013750","journal-title":"Am J Sports Med"},{"key":"3604_CR22","doi-asserted-by":"crossref","first-page":"57","DOI":"10.1016\/j.ptsp.2011.03.001","volume":"12","author":"EP Mulligan","year":"2011","unstructured":"Mulligan EP (2011) Evaluation and management of ankle syndesmosis injuries. Phys Ther Sport 12:57\u201369","journal-title":"Phys Ther Sport"},{"issue":"1","key":"3604_CR23","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1136\/bjsm.25.1.61","volume":"25","author":"JP Nicholl","year":"1991","unstructured":"Nicholl JP, Coleman P, Williams BT (1991) Pilot study of the epidemiology of sports injuries and exercise-related morbidity. Br J Sports Med 25(1):61\u201366","journal-title":"Br J Sports Med"},{"key":"3604_CR24","doi-asserted-by":"crossref","first-page":"216","DOI":"10.1097\/01.blo.0000161090.86162.19","volume":"436","author":"JH Nielson","year":"2005","unstructured":"Nielson JH, Gardner MJ, Peterson MGE et al (2005) Radiographic measurements do not predict syndesmotic injury in ankle fractures: an MRI study. Clin Orthop Relat Res 436:216\u2013221","journal-title":"Clin Orthop Relat Res"},{"issue":"1","key":"3604_CR25","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1177\/03635465010290011001","volume":"29","author":"ED Nussbaum","year":"2001","unstructured":"Nussbaum ED, Hosea TM, Sieler SD et al (2001) Prospective evaluation of syndesmotic ankle sprains without diastasis. Am J Sports Med 29(1):31\u201335","journal-title":"Am J Sports Med"},{"issue":"1","key":"3604_CR26","first-page":"1551","volume":"227","author":"K Oae","year":"2003","unstructured":"Oae K, Takao M, Naito K et al (2003) Injury of the tibiofibular syndesmosis: value of MR imaging for diagnosis. Radiology 227(1):1551\u20131561","journal-title":"Radiology"},{"key":"3604_CR27","doi-asserted-by":"crossref","first-page":"1529","DOI":"10.1002\/(SICI)1097-0258(19970715)16:13<1529::AID-SIM565>3.0.CO;2-H","volume":"16","author":"N Obuchowski","year":"1997","unstructured":"Obuchowski N, McClish D (1997) Sample size determination for diagnostic accuracy studies involving binormal ROC curve indices. Stat Med 16:1529\u20131542","journal-title":"Stat Med"},{"issue":"2","key":"3604_CR28","doi-asserted-by":"crossref","first-page":"107","DOI":"10.1177\/107110070202300205","volume":"23","author":"SG Pneumaticos","year":"2002","unstructured":"Pneumaticos SG, Noble PC, Chatziioannou SN, Trevino SG (2002) The effects of rotation on radiographic evaluation of the tibiofibular syndesmosis. Foot Ankle Int 23(2):107\u2013111","journal-title":"Foot Ankle Int"},{"issue":"4","key":"3604_CR29","doi-asserted-by":"crossref","first-page":"611","DOI":"10.1016\/j.fcl.2008.08.001","volume":"13","author":"S Rammelt","year":"2008","unstructured":"Rammelt S, Zwipp H, Grass R (2008) Injuries to the distal tibiofibular syndesmosis: an evidence-based approach to acute and chronic lesions. Foot Ankle Clin 13(4):611\u2013633","journal-title":"Foot Ankle Clin"},{"issue":"7","key":"3604_CR30","doi-asserted-by":"crossref","first-page":"1549","DOI":"10.1177\/0363546514529643","volume":"42","author":"FW Roemer","year":"2014","unstructured":"Roemer FW, Jomaah N, Niu J et al (2014) Ligamentous injuries and the risk of associated tissue damage in acute ankle sprains in athletes: a cross-sectional MRI study. Am J Sports Med 42(7):1549\u20131557","journal-title":"Am J Sports Med"},{"issue":"10","key":"3604_CR31","doi-asserted-by":"crossref","first-page":"620","DOI":"10.1136\/bjsports-2012-091702","volume":"47","author":"AD Sman","year":"2013","unstructured":"Sman AD, Hiller CE, Refshauge KM (2013) Diagnostic accuracy of clinical tests for diagnosis of ankle syndesmosis injury: a systematic review. Br J Sports Med 47(10):620\u2013628","journal-title":"Br J Sports Med"},{"issue":"3","key":"3604_CR32","doi-asserted-by":"crossref","first-page":"324","DOI":"10.1302\/0301-620X.85B3.13174","volume":"85","author":"M Takao","year":"2003","unstructured":"Takao M, Ochi M, Oae K, Naito K, Uchio Y (2003) Diagnosis of a tear of the tibiofibular syndesmosis. The role of arthroscopy of the ankle. J Bone Joint Surg Br 85(3):324\u2013329","journal-title":"J Bone Joint Surg Br"},{"issue":"12","key":"3604_CR33","doi-asserted-by":"crossref","first-page":"1705","DOI":"10.3928\/01477447-20121120-13","volume":"35","author":"KP Valkering","year":"2012","unstructured":"Valkering KP, Vergroesen DA, Nolte PA (2012) Isolated syndesmosis ankle injury. Orthopedics 35(12):1705\u20131710","journal-title":"Orthopedics"},{"key":"3604_CR34","doi-asserted-by":"crossref","first-page":"401","DOI":"10.1097\/00004424-199707000-00006","volume":"32","author":"TJ Vogl","year":"1997","unstructured":"Vogl TJ, Hochmuth K, Diebold T et al (1997) Magnetic resonance imaging in the diagnosis of acute injured distal tibiofibular syndesmosis. Invest Radiol 32:401\u2013409","journal-title":"Invest Radiol"},{"key":"3604_CR35","doi-asserted-by":"crossref","first-page":"1","DOI":"10.5312\/wjo.v2.i1.1","volume":"2","author":"MT Wataru Miyamoto","year":"2011","unstructured":"Wataru Miyamoto MT (2011) Management of chronic disruption of the distal tibiofibular syndesmosis. World J Orthop 2:1\u20136","journal-title":"World J Orthop"},{"issue":"13","key":"3604_CR36","doi-asserted-by":"crossref","first-page":"2279","DOI":"10.2106\/JBJS.I.01537","volume":"92","author":"BR Waterman","year":"2010","unstructured":"Waterman BR, Owens BD, Davey S et al (2010) The epidemiology of ankle sprains in the United States. J Bone Joint Surg Am 92(13):2279\u20132284","journal-title":"J Bone Joint Surg Am"},{"issue":"7","key":"3604_CR37","doi-asserted-by":"crossref","first-page":"1197","DOI":"10.1177\/0363546507302545","volume":"35","author":"GN Williams","year":"2007","unstructured":"Williams GN, Jones MH, Amendola A (2007) Syndesmotic ankle sprains in athletes. Am J Sports Med 35(7):1197\u20131207","journal-title":"Am J Sports Med"}],"container-title":["Knee Surgery, Sports Traumatology, Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00167-015-3604-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1007\/s00167-015-3604-x\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00167-015-3604-x","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,12,15]],"date-time":"2023-12-15T19:16:15Z","timestamp":1702667775000},"score":1,"resource":{"primary":{"URL":"http:\/\/link.springer.com\/10.1007\/s00167-015-3604-x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,4,21]]},"references-count":37,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2016,4]]}},"alternative-id":["3604"],"URL":"https:\/\/doi.org\/10.1007\/s00167-015-3604-x","relation":{},"ISSN":["0942-2056","1433-7347"],"issn-type":[{"value":"0942-2056","type":"print"},{"value":"1433-7347","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,4,21]]}}}